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General NPI Number Information
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NPI Number | 1720222185
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Entity Type | Individual
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Provider Name | ELIZABETH JANE PRINCE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 11172 LOS ALAMITOS BLVD
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3621
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Country | US
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Telephone | 562-430-3323
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Fax |
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Provider Business Mailing Address
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Address Line | 5272 DARTMOUTH AVE
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City | WESTMINSTER
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State | CA
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Zip | 92683-2747
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Country | US
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Telephone | 714-898-3801
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Fax | 562-431-5863
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH38849
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License Number State | CA
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